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Individual
MARY ROSE PARIS
Active
Individual
MARY ROSE PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN128162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000829573A
—
GA
01
—
500015982
RR MEDICARE
GA
Enumeration date
04/17/2006
Last updated
01/15/2010
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